| NPI | 1255533543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETO JOLIA Owner 818-334-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5668640001) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |